Developing and validating a scientific model for exploring safe work practices in interdisciplinary teams

Health research literature on quality and safety in recent years has pointed to a need to explore the characteristics of interdisciplinary team work unique to the health care sector and the particular organization. The literature also has identified a need for scientific models that explore and integrate existing findings concerning team dynamics. In this article, I attempt to address these concerns by developing and validating a scientific model for exploring safe work practices of interdisciplinary OR teams. Specifically, existing health research literature on quality and safety is reviewed to identify and incorporate various team-related aspects into dimensions of the proposed model. To further validate the model, I conduct an ethnographic study of safe work practices within an interdisciplinary OR setting. I find that safe work practices can be viewed as a product of the individual’s and team’s ability to draw on and combine explicit and tacit knowledge repertoires, which again is a product of the particular inner and outer structural conditions of a system. While the findings add their own unique distinctiveness to the scientific model, the findings also compare to the existing aspects and dimensions of the model. I conclude that the fit of the empirical data to the model improves the validity of the model, and also the potential application of the model in ethnographic research within different medical and/or team settings.

► I develop a scientific model for exploring safe work practices. ► I validate the model through a literature review process and an ethnographic study. ► The study provides a unique perspective on safe work practices in a surgical setting. ► I suggest the model’s value in different medical/team-based ethnographic research.